facebook tracking Atherosclerosis without major complications cost in South Carolina: 2 hospitals compared (DRG 303)

Atherosclerosis without major complications in South Carolina

What 2 hospitals in South Carolina charged and were paid for a Medicare hospital stay for atherosclerosis without major complications (DRG 303), from 2024 Medicare claims.

DRG 303 Inpatient 2024 Medicare data
Average charge $34,342 Hospital list price billed
Average payment $5,982 Medicare + patient + other payers
Medicare paid $4,556 Average per stay
Volume 28 Medicare hospital stays

Hospitals in South Carolina billed an average of $34,342 for atherosclerosis without major complications, about 5.7 times the average total payment of $5,982. That payment is 15% below the U.S. average of $7,013.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $5,982Billed $34,342

About 17¢ was paid for every $1 hospitals in South Carolina billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in South Carolina:

South Carolina hospitals: atherosclerosis without major complications

Every South Carolina hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Grand Strand Reg Med CenterMyrtle Beach 16 $39,901 $6,009 $4,517
McLeod Regional Medical CenterFlorence 12 $26,930 $5,947 $4,609
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Atherosclerosis without major complications in other states

Questions

How much does atherosclerosis without major complications cost in South Carolina?

In 2024 Medicare data, a hospital stay for atherosclerosis without major complications (DRG 303) at 2 hospitals in South Carolina was billed at $34,342 on average, while the average total payment was $5,982, of which Medicare paid $4,556. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in South Carolina, average charges were 5.7 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.